One of the unplanned byproducts of a proposed new payment system could be a better legal image and standing of therapy and rehab providers.
Kindred wins whistleblower case: Docs not proven wrong
By
Aug 06, 2016
A Kindred Healthcare subsidiary claimed victory in June in a False Claims Act case brought by a former employee.
Complaint by whistleblowers will cost hospice $4 million
By
James M. Berklan
Mar 05, 2015
A hospice company that hired medical directors with close ties to nursing homes to better pursue allegedly fraudulent practices has agreed to a $4 million settlement with the U.S. Justice Department.
Extrapolation for overpays OK, court says
By
Julie Williamson
Apr 01, 2014
A federal appeals court has ruled that a government contractor may justifiably calculate the amount a provider owes for Medicare overpayments by conducting a limited audit and then extrapolating from those...
Hospice settles HIPAA case for $50,000
By
Elizabeth Newman
Feb 01, 2013
A stolen laptop has resulted in an Idaho hospice organization paying the Department of Health and Human Services $50,000.
Vitas agrees to record-setting settlement
By
Amy Novotney
Dec 06, 2017
The nation’s largest for-profit hospice provider and its parent company will pay $75 million to settle allegations that it submitted false Medicare claims for hospice services, according to federal...
SCOTUS sides with provider, won’t take arbitration case
By
May 06, 2017
In a win for providers, the United States Supreme Court declined in late March to review an arbitration dispute between an Extendicare facility and the family of a deceased resident.
PharMerica, Kindred settle kickback suit
By
James M. Berklan
Oct 05, 2015
Federal regulators were combing through out-of-court agreements at press time to discern whether settlement terms reached by PharMerica Corp. and Kindred Healthcare would pass regulatory muster.
Feds join suit against hospitalist company
By
Tim Mullaney
Feb 01, 2014
The federal government has joined in a whistleblower lawsuit alleging that a large hospitalist company engaged in systematic “upcoding” of Medicare and Medicaid claims.
AHCA: Statistical sampling an improper ‘sledgehammer’
By
James M. Berklan
May 04, 2016
The nation’s largest association for nursing home and other long-term care operators has publicly expressed its staunch disapproval of a federal prosecution method that takes only small slices of...